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Overseas Property Quotation Request

in association with MPM Travel


 Please complete this form if you would like a quotation for Overseas Property Insurance.

Personal Information

 

Title:
First name:
Surname:
Correspondence address:
Telephone No.
E-mail address:
Date cover required:
(dd/mm/yyyy)


Risk Property Details

 

Country:
Risk address:
Year of construction:
(if over 100 years is it listed?) : Yes No
Type of property:
(eg. villa)
Number of bedrooms:
Wall construction:
(eg. Brick / Stone)
Roof construction:
(eg. Tile / Slate)
Rebuild sum insured:
Contents sum insured:
All risks?
Occupancy type:

- Main Residence option unavailable for Eire
- if being let to friends & family, select Holiday Home
Details of ALL claims in the last 5 years on ANY property:

- Dates of claims
- Amount claimed for
- Was the claim made at the risk address?
Is there any history of subsidence / flooding? Yes No
(if Yes, a survey report is required)
Additional comments:





   
 

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JBI International Insurance Brokers Ltd. are Authorised and Regulated by the Financial Services Authority. Our firm reference number is 308981.